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PRISSILLA COOPER LMT

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1922429877

Individual Registrant:
 PRISSILLA  COOPER LMT
Gender: F
Sole Proprietor

Location and contact information for practice:
121 N MAIN ST  SYLVANIA, GA 30467-1818 US
Tel: 912-687-3177  Fax: --

Contact information for business:
252 BUCK RD  SYLVANIA, GA 30467-6524 US
Tel: 912-687-3177  Fax: --

Registration Information:
NPI: 1922429877
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
GAMT008841

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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